Contact Us

Carelon’s Quality Management and Medical Affairs staffs are based at the Pennsylvania Engagement Center and operate under the tenets of the Quality Management Program. The Management Information Systems (MIS) staff is housed here as well and is primarily responsible for all internal and external reporting deliverables. Finally, Carelon’s management, senior management, and financial staff are all located in the Pennsylvania Engagement Center.

Provider Relations Staff | Fax Numbers | Member Toll-Free Numbers

  • Address: P.O. Box 1840, Cranberry Township, PA 16066-1840
  • Provider Toll Free Number: 877-615-8503
  • Out of Network Providers, please call the Provider Service Line to initiate the process: 877-615-8503
  • Eligibility Verification System (EVS): 800-766-5387
  • Carelon Behavioral Health Web Site Address:
  • E-Support (EDI) Help Line: 888-247-9311 or
  • Automated Fax Back Service for Provider Summary Vouchers:
  • PaySpan Health Customer Service Support Phone Number:
  • Availity Client Services:
    1-800-282-4548 between the hours of 8:00 a.m. and 8:00 p.m. EST, Monday through Friday. 

Member Toll-Free Numbers

Member County Toll-Free Numbers — Members only, please

If you do not speak English, please call your County’s toll-free member line and staff will be able to assist you.

County Phone number
Armstrong 877-688-5969
Beaver 877-688-5970
Butler 877-688-5971
Crawford 866-404-4561
Fayette 877-688-5972
Indiana 877-688-5969
Lawrence 877-688-5975
Mercer 866-404-4561
Venango 866-404-4561
Washington 877-688-5976
Westmoreland 877-688-5977
PA Relay 711

Fax Numbers

Fax Numbers by Department

Department Fax Number
Pennsylvania Medicaid – Beaver Office 855-589-1258
Pennsylvania Medicaid – Clinical – SCA 855-439-2446
Pennsylvania Medicaid – Crawford Office 855-589-1259
Pennsylvania Medicaid – Customer Service 855-439-2443
Pennsylvania Medicaid – Family Based 855-439-2442
Pennsylvania Medicaid – Mercer Office 855-439-2448
Pennsylvania Medicaid – Network Operations 855-541-5211
Pennsylvania Medicaid – Outpatient Authorizations 855-439-2444
Pennsylvania Medicaid – Peer Office/Grievances 855-439-2445
Pennsylvania Medicaid – Provider Relations 855-541-5211
Pennsylvania Medicaid – Quality Management 855-287-8491
Pennsylvania Medicaid – Venango Office 855-589-1260